MRS. DIANTHA JEAN LARSON CCDC T
Addiction Substance Use Disorder
Watertown, South Dakota
Provider NPI: 1669467577
Provider Information:MRS. DIANTHA JEAN LARSON CCDC T
Gender: F
Practice Location:
123 19TH ST NE WATERTOWN, SD 57201 US
Tel: 605-886-0123 Fax: 605-886-5447
Business Mailing Address:
PO BOX 1030 WATERTOWN, SD 57201 US
Tel: 605-886-0123 Fax: 605-886-5447
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | SD | 3085 |
ADDICTION JOBS SD - Page 1
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